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Vasectomy Reversal

Vasectomy Reversal

Vasectomy Reversal

Vasectomy reversal (Snip Reversals or Reversal of Male Sterilisation) is the operation to identify the cut ends of the vas (which has a minute diameter of 0.2mm – 0.4 mm) that carries sperms from Testis to the penis and reconnect them to transport the sperms again. A surgeon reconnects each tube (vas deferens) that carries sperm from a testicle into the semen during the procedure. After a successful vasectomy reversal, sperm are again present in the semen, and you may be able to get your partner pregnant.

The main principles of this operation include the following
  • Achieve the best possible alignment of the minute openings (lumens) of both cuts ends that could be of different diameters
  • Connect them in a leak-proof manner as leakage can cause blockage of the connection
  • Preserve the blood supply to the vas throughout the procedure as careless handling may compromise the blood supply and cause scarring & blockage.
  • If there is blockage upstream at the level of the epididymis, then a procedure of connecting the vas to the epididymis (Vaso-Epididymostomy) will be needed. A reversal service cannot be a complete service if the surgeon does not diagnose the blockage and perform this procedure. Simply connecting the vas end to the other end will not work in this situation.
  • It is essential to consider that If you had your vasectomy less than ten years ago, success rates in your being able to produce sperm in your ejaculate again are 95% or higher after a vasectomy reversal. If your vasectomy was more than 15 years ago, the success rate is lower.